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HomeMy WebLinkAboutBIRCHWOOD PARK BLK C LT 2OlO-z z- 0 8 ]?HA Form No, 2215 (Revised June 1951) [] New installation. [] Existing installation. FEDERAL HOUSING ADMINISTRATION REPORT OF INSPECTION INDIVIDUAL SEWAGE-DISPOSAL SYSTEM To Be Headed in by FHA Or, ce Form Aporoved. Budget Bureau No. 65-R297~, (Serial number) (Insuring office) (Mortsa~ee) (Mortgagor or sponsor) Property address .__.L.~.t._..~.,. B__I_O. fl[~._C ,. ]~trc.h.~9_~.....P.._a_r..k. .............................................................. (Oit¥) (County) (~ate) Total number: Living units ___.~_ ......... BedroOms .._~ ........ ' Baths 'il._1- ......... -Basement: [~ Yes ,[~ No. Water supply by: [] Public system. [] Community system. ~ 'individual system on site. Part I-a.--FOR USE OF INSPECTING OFFICIAL (Fill in below information applicable to subject installation) INSTRUCTIONS: If ~¢~V i~sta[Zatio~, inspect for compliance with'approved exhibits and record any observed information not shown on, or which varies from, the approved exhibits. If ezistin# i~stallation, furnish as much of the i2formation as may be available. PRIMARY TREATMENT consists of ~eepfic tank. [] CesspoOl.. ,. ' SeptiCDistanceTank:from well,]',......~-~' feet. Material, _~_...~-_ ........ [ ...... i ......................... Number of compartments ..l ........... Total liquid capacity ............. _~e_-~._~..~-. ............... gallons. CaPacitY inlet comic%preent ................................... 7- gallons. Inside length, .............. f~et,~ Inside width, ............... feet. Liquid depth, __./_ .~__ ....... feet. Cesspool: ~1'~, ~ O' ~fe~ /I,e ~ ~ Distance from: Well, .............. feet; foundation, ............... feet; neares~ lot line,at ~ front, i[-1 side, [] rear, ............... feet. Inside diameter, ........... feet. Depth, .......... feet. Liquid capacity, ............ gallons. Lining material ......................... SECONDARY TREATMENT consists of [] Distribution box and [] Tile disposal field. '[] Seepage pits. Other ........................... Tile Disposal Field: Distance from: Well, ........... feet; foundation, ............. feet; nearest lot line at ,[] front, [] side, [] rear, ............... feet. Total length of tile lines, ..................... feet. Number el lines, ..................... Distance between lines, .................... feet. Total effective absorption area in bottom of trenches, ........................... square feet. Trench width, ..................... inches. Length of each line, ....................................... feet. Depth, top of tile to finish grade, ....................................... inches. Type of filter material: [] Gravel. [] Broken stone, i [] Cinders. Other ........................................................................ Depth of filter material beneath tile, .... A~.:._ .............. inches. Depth of filter material over tile, .............................. inches. Seepage Pits: Number of pits J__. Outside diameter, ~---~--.f- feet. Depth, __~.--~--.._ feet. Lining material ----~---~----~I- ............ ~ ............ Distance from: Well, .._' ........ feet; foundation .............. feet; nearest lot line at '~f~ront, [] side, [] ~ar ......... /__t~__ feet. If Existing Installation, give all the following additional information available: Distance to nearest: Public sewer,. ................ feet~Com~u i_~ sy~m~, ~ ........ feet. Approximate direction of surface drainage of lot, ._~.-)._~__-~--.---~b~ APproximate slope, ......... -~- ~-~ feet per 100 feet. Soil is: [] Loam. [] Sandy loam. [] Clay. :[] Sandy clay. [] Coarse s~nd or g.ravel. [] Hardpan. [] Rock. Other Number of bathrooms, _ ..... /.--. Is there a ba~e~ment? ~Yes. i[] No. Basement drains to ................................................ Fixtures in basement: [] Laundry tray. [] Toilet. [] Bathtub. ~] Shower, i[] None. ~] Floor drain. [] Sump pump. Laundry waste disposal: Direct to [] Seepage pit. Other .................. Through sump pit to: [] Septic tank. [] Seepage pits. Is footing drain provided? [] Yes. il'q No. Drains to: [] Surface. [] Dry well. [] Sump in basement. Other ..................... Downspouts or areaway drain to: ;[] Surface discharge. [] Dzy well. Other .................................................................. Depth of house sewer below finish grade at foundation, _ ............... feet. ................ s (Title) Part I-b.--See reverse side Part IL--FOR USE OF THE HEALTH DEPARTMENT OFFICIAL REVIEWING REPORT Based on the information reported hereon and other available information, it is the opinion of the [] State ~[] County [] Local Department of Health that this system with proper maintenance: [] can be expected to function satisfactorily, and is [] cannot be expected to function satisfactorily. not likely to create an insanitary condition. Remarks: ............. : .......... ~.~F~_7.¥- ............. ~ ........... ........ ;._L ............................................................................. n ............... ( Signed ) ............................................................................ Date ......................................., 19 ....... (Title) Part III..~FOR USE OF FHA OFFICE TO THE CHIEF UNDERWRITER: ' · ~' I have reviewed the foregolng and the pert~n.~n~' FHA Complianc~ Inspection Report, and recommend that the individual sewage-disposal system be considered [] ~cc~ptable~ ~1 ~0t ~acceptable. Remarks: ............................................................................................................................... ~ ......................... Date ....................................,19 ..... 2218--Individual Sewage-Disposal System (Signed) ......................................................................... [] Chief A~chitect. [] Deputy for Chief A~chiteot. Report of Inspection · Lre~op u.t oq.txogop '.~ao~o~[g.t~sun s! mo~[g_g~ oq~ ~q~ uo.m.tdo u~ u.~ ~in~o.t Xma qo!q~ puno~ ox, ~uo!~.tpuoo ,~I 'uo.t~maosu.~ ~uou.t~aod [~uomalddn~ Xu~ 'l~'-I ~.~2,I u! poq!.xosop ~llnj ~ou s~U~Ult ~uou!~.xod Xu** ~OlOq qo~o~IS Xq a~oqs--'ItD~DIS uo!~oodsuI jo ~odo~l tuoss.4:S l~SOd$!(I-oll~oS l~np!a~uI~SIgg FHA Form No. 2217 (Revised Dee. 1948) Budget Bureau No. 63 R~6.3. 6o'-oo~76~ ....... (Serial numbee) FEDERAL HOUSING ADMINISTRATION [] NewinstaUat~on. REPORT OF INSPECTION [~ Existing installation. INDIVIDUAL WATER-SUPPLY SYSTEM To Be Headed in by FHA Office .... AnohoT~age, ,4~.ae_k~ ............. Ne. tton~l B~ of Als,~, NE~, ~lph L. & Alma (Insuring office) (Mortgagee) (Mortgagol' or sponsor) Property address ~o~ ~ Bloak ~, ~trah~o~ Park, ' (City} (County) (State) Total number: Living units_ _~ ...... Bedrooms ..... ] .... Ba~hs.__~ ..... Basement: ~ Yes ~ No. Sewage disposal by: ~ Public se~er. ~ Community system. ~ Individual system on site. Part I-a.--FOR USE OF INSPECTING OFFICIAL (Fill in below information applicable to subject installation) INSTRUCTIONS: If new installation, inspect for compliance with approved exhibits and record any observed information not shown on, or which varies from, the approved exhibits. If existing installation, furnish as much of the information as may be available. Distance to neares~ubllc water main, ............ feet. Size of main ............. inches. Individual wells [~re [] are not customary in neighborhood. Give most recent record of failure of wells in immediate vicinity to furnish adequate supply of water ......................................... Lo~ size: .................. feet wid~ ............... feet deep. Dwelling set back from front proper~y line, .................. feet. Individual water supply from: ~'~rilled well. ~ Driven well. ~ Dug well. ~ Bored well. Distance of we1, ,,om: ~ ~ ~e Z 7 Building foundation, _.~_~_ ................. feet; n~ lot line at ~ front, ~ ~, ar ................................... feet, cast iron sewer, __]~ ...... feet; tile sewer .................. fee~; septic tank, ................. feet; disposal field, ................. feet; seepage pit, .................. feet; cesspool, .................. feet; other sources of possible pol]~ion, .................. feet. Diameter, ............. inches. Total depth, ............ feet. Type of casing, ........................... Depth of casing, ............ fee~. Approximate depth to pumping level of wa~er in well, ............ feet. Approximate yield, ............ gallons per minute. Sealed watertight to depth of ............ fee~. ~ Exterior space around casing sealed wi~ Cement grout. ~ Puddled clay. ~-Ordi~y backfill. Well cover: ~ Concret~ Wood. ~ ~etal. Openings in wellcover watertight: ~ Yes. ~ No. Pump: ~ Shallow~ll. ~'~eep well. Length of drop pipe, ............. feet. Pump capacity, ....... ~ .... gallons per minute. Located in: ~'~asement. ~ Pump room off basement. ~ Pump house above ground. ~ Pump pit. Pump room properl~ained: ~ Yes. ~ No. Pump mou~atertight: ~ Yes. ~ No. Type of storage: ~P~essure. ~ Gravity. Capacity, _ .......... ~llons. Has bacteriological examination of wa~er been made? ~ Yes. ~'Nd. If answer is "yes," give da~e ........................... , 19 ...... Quality of wat~ is [] is not satisfactory for human consumption. Installation [] does [] does not comply with a~oved exhibits, if any. Inspection made by: [] State, [] County. [] Eocal Health Authority. / ~)'~-.~ S,~ (Signed) Date of inspection .................................... 19 ...... (Title) Part I-b.--See reverse side Part IL--FOR USE OF THE HEALTH DEPARTMENT OFFICIAL REVIEWING REPORT Based on the information reported hereon and other available~ information, it is the opinion of the [] State [] County [] Local Department of Health that this system [] is []is not sat~isfactory as a domestic water supply for the subject property. Remarks: ...................................................................................................................................................... (Signed) .............................................................................. Date: ................................. , 19 ...... (Title) TO ~HE CHIEF UNDERWRITER: Par~ III.--FOR 'USE oF F. H. A. OFFICE I have reviewed the foregoing and the pertinent FHA Compliance Inspection Report, and recommend that the individual water- supply system be considered [] acceptable [] not acceptable. Remarks: ............................................................. ~ ................................ ~ ........................................................ Date ................................. , 19 ..... 2217~Individual Water-Supply System Report of Inspection ±33BIS ,601 £NOEI-I Mr. Virgil Reimer, Director Federal H~ming A~ministration P. O. Box 723 Anchorage, Alaska MMAForms 2217 and 2218 Serial No. 60-00~62 Charles R. &Rmth Leslie Anchorage, Alaska Dear Mr. Rei~erl Attached are F.H.A. 2217 end 2218 forms for the subject property. The s~steme do not cempletely comply with the mint ~mmm re~remants of the Alaska Department of Health sad Federal Housing A~i~istration. The non-compliances arm listed on the forms. As the non-compliances are all of a minor nature, we believe the systems can be expected to function satisfactorily and are net likely to create an insanitary condition pro- vidL~ proper maintenance is given the systems. If we maybe of any further service to you regardin~ this matter, please contact Very .truly yo~e, Amos J. Alter, Chief Section of Sanitation &E~gineeri~ Attachments - FHA Forms 2217 & 2218 cci C. Winey, Jr., A~Ch. Office~ Amos J. Alter, Chief, Secti~ of Sanitatic~ & Engineering Calvin Winsy, Jr., Rag. San. Engr. ~{A Forms 2217 & 2218, SERIAL NO. 60-004862, Charles R. & Ruth Leslie F~elosed please find the subJee% F~A fc~ms. The new septic tank system whieh replaced the existing septic tank system was inspected by Mr. Ted Bait of F~A for me w~ile I was out of town ~ a field trip. Upon m~ return to the o~iee~ Mr. Leslie showed me the receipts for the work. ~t is fast-mended that the water supply and sewage disposal systems be approved, oW/do MUNICIPALITY OF ANCHORAGE Development Services Department Phone: (907)343-7904 On -Site Water & Wastewater Section Fax: (907)343-7997 Certificate of On -Site Systems Approval OSC251229 Parcel ID 010 -222-08 Expiration Date Legal description BIRCHWOOD PARK BLK C LT 2 Site address 1304 W 45TH AVE 5/16/2026 Current property owner(s) WHITCRAFT MICHAEL ALLEN 50% & X The On-site system(s) is/are approved for 3 bedrooms Conditional approval for bedrooms, with the following stipulations: Comments or conditions: By: Original Certificate Date: 6/13/2025 This rtifica�e of On -Site Systems Approval (COSA) is intended to demonstrate the subject s em(s) is/are in substantial compliance with municipal code. The Municipality of Anchorage, Development Service Department (DSD) issues COSAs based upon representations provided by an independent professional engineer. The Municipality of Anchorage is not responsible for errors or omissions in the professional engineer's submittal. ATTACHMENTS: COSA Checklist X Absorption Field Advisory Tank Age Advisory Other Well Flow Advisory Nitrate Advisory Arsenic Advisory X UNICIPALITY OF Development Services Department On -Site Water & Wastewater Section I r - Phone: 907-343-7904 Fax: 907-343-7997 Certificate of On -Site Systems Approval Application 1. GENERAL INFORMATION Parcel L D. 010-222-08 Complete legal description Birchwood Park Block C Lot 2 Location (site address) 1304 W 45th Ave Current property owner(s) Michael & Christina Whitcraft 2. ON-SITE SYSTEMS SIZED FOR 3 BEDROOMS Day phone 3. TYPE OF WATER SUPPLY: FEW Private Well serving # I dwelling units F] Other Non-public well as regulated by MOA El Water Storage F-1 Community Well or Public 4. TYPE OF WASTEWATER DISPOSAL: E] Private Septic ❑ Private Septic serving 2 dwelling units ❑ Holding Tank FNI Community Septic or Public Sewer 5. SEPTIC TANK: R Steel F-1 Plastic n Concrete F1 Fiberglass Age - See advisory if steel or fiberglass older than 20 years 6. ABSORPTION FIELD: E] AWWTS ❑ Bed R Deep Trench Fj Wide Trench E] Seepage Pit Waiver request for: Expedited review requested: ❑ Distance: By applying for this entitlement, this property is subject to inspection by municipal On-site staff to verify the accuracy of the information provided. COSA Fee $ C) o Waiver Fee $ Date of Payment 116 / ,� 57 V"' Date of Payment COSA # c _171 Waiver # COSA Application_Apr2025.doc COSA Checklist Legal Description: Birchwood Park Block C Lot 2 Parcel ID: 010-222-08 If more than 1 well and/or septic system on lot, provide separate checklist. Structure served by this system A. WELL DATA ❑ Well log is filed with Onsite (or attached) Date drilled<12/111955 Total depth 147* ft Cased to 147* ft © Sanitary seal is functioning correctly ❑� Wires are properly protected Casing height (above ground) 18 in. Date of flow test for COSA 5/23/25 Static water level at beginning of test 28 ft. Comments *Per MOA records. K DATA PUBLIC SEWER fluid level in septic tank Date of pumping ❑ Required maintenance co Comments: ISPOSAL FIELD DATA W1NTS Which tem tested (date installed) ❑ ALL standp present per record drawing Total measured depth grade ft (max) Measured depth to pipe inve m grade ft (min) ❑ N/A — pressurized field. ❑ Per record drawings, field is insu#at ❑ Monitor tubes go to bottom of effective. If not, state depth into effective ❑ Presoaked required if (Required if house vacant or field not used for more than 30 days prior to date of test) Gallons introduced __gallons date Any rejuvenation treatment (past 12 months) If yes, enter date Comments/Deficiencies: COSA Cheddist_May2025.docx Well production at time of test 6.0 gpm Water storage tank volume None gallons Well disinfected for coliform test? ❑ Yes✓❑ No © Coliform bacteria is Negative Nitrate mg/L ✓❑ Nitrate less than MRL (ND) Arsenic 15.0 ug/L ❑ Arsenic less than MRL (ND) Collected by Date 5/16/25 C. LIFT STATION ❑ Required maintenance completed Age of lift station years Lift station material Comments: Adequacy test date Results II Pass Fluid depth prior to test _ Water added gal New fluid depth in Elapsed time min in Final fluid depth in Absorption rate gpd D STATUS — POST RECOVERY Effectiv epth (per record drawings) Effective depth in ed Effective depth remain in in SEPARATION DISTANCES From on Lot to: (Please enter distances if less than required) Septic Tank/L tation on Lot > 100' ❑ Yes if No NA ft Neighboring Tank > 10 ✓❑ Yes if No ft Disposal Field on Lot > 100' Yes if No NA ft Neighboring Disposal Fields > 100' ❑J Yes ft Sewer Line/Main > 100' © Yes if No ft ❑ N/A — Served by Com From Septic/Holding Tank and Disposal Field(s) on Lot to: Tank to Foundation > 10' ❑ Yes if No ft Field to Foundation > 10' ❑ Yes if No ft Tank to Property Line > 5' ❑ Yes if No ft Field to Property Line > 10' ❑ Yes if No ft Water Main/Service Line > 10' ❑ Yes if No ft F. ENGINEER'S COMMENTS PUBLIC SEWER Sewer Manhole/Cleanout > 100' 0 Yes if No ft Sewer Service/Septic Line > 2F J❑ Yes if No ft Holding Tank > 100' J❑ Yes if No ft Animal Containment > 50' © Yes if No ft Manure/Animal Excreta Storage > 100' 0 Yes if No II (not on lot) or Public Water Pie enter distances if less than required) Surface > 100' El if No Wells on Adjacen t& Wells > 100' ❑ Yes if No Community Wells > 200' es if No If tank or field is under driveway commen io ft ft ft ft G. CERTIFICATION & STATEMENT OF INSPECTION BY ENGINEER As certified by my seal affixed hereto and as of the validation date shown below, I verify that my investigation, based on procedures outlined in the Certificate of On -Site Systems Approval Guidelines, indicates that the on-site water supply and/or wastewater disposal system appears to comply with applicable Municipal and State codes, ordinances, and regulations in effect at the time of installation, unless noted otherwise. Name of Firm Arcterra Consulting Phone (907)-696-6111 Engineer's Printed Name Kenneth Duffus Date 6/10/25 Engineer's Comments: This investigation was completed in compliance with ADEC and MOA regulations. The assessment of the condition of the well and septic applies only to the conditions as of the day tested. The flow and absorption rates may change due to subsurface conditions that may not be observed from the surface, changes inland use, local soil characteristics, groundwater levels that may fluctuate during the year and the water usage of the family being served by the system. The operational life of all well and septic systems are subject to these various and dynamic characteristics and are outside the control of the evaluator of the well and septic system. Therefore, ArcTerra can not give any estimate of how long a system will function satisfactory for current or future occupants or can ArcTerra guarantee that no unseen encroachments, deficiencies or discrepancies exist. COSA Cheddist_May2025.docx MUNICIPALITY DEVELOPMENT SERVICES DEPARTMENT 'rx �"ie� 907-343-7904 On -Site water and wastewater Section Fax: 343-7997 www.muni.org/onsite — Arsenic Advisory Certificate of On -Site Systems Approval # OSC251229 Subdivision: Birchwood Park, Block: C, Lot: 2 A water sample revealed an arsenic concentration of 15 micrograms per liter (ug/Q. The Environmental Protection Agency (EPA) has established a maximum contaminant level (MCL) of 10.0 ug/L for public drinking water systems. While private wells are not subject to this regulation, EPA standards are based on existing health information and can therefore be used to gauge the relative quality of water from private wells. information on arsenic is available from the On -Site Water and Wastewater Program website (www.muni.org/onsite) or at 343-7904. This advisory must be attached to all copies of the subject Certificate of On -Site Systems Approval.